Waggoner Pediatrics, Plc

NPI #1225572548 in Clive, Iowa

Provider Information

NPI Number: 1225572548
Entity Type: Organization
Organization Name: Waggoner Pediatrics, Plc
Primary Specialty: Pediatrics
Enumeration Date: Dec 5, 2016
Last Updated: May 8, 2017

Practice Location

Address: 2555 BERKSHIRE PKWY STE A
City: Clive
State: Iowa
ZIP Code: 50325-4646
Phone: (515) 987-0051

Authorized Official

Name: JULIE A WAGGONER, ARNP
Title: ARNP
Phone: (515) 987-0051

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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